Provider Demographics
NPI:1437455912
Name:RUSH AMBULANCE INC.
Entity Type:Organization
Organization Name:RUSH AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:OLESYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KONOPELNYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-716-4848
Mailing Address - Street 1:914 HENRIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8502
Mailing Address - Country:US
Mailing Address - Phone:215-469-1133
Mailing Address - Fax:215-701-4997
Practice Address - Street 1:914 HENRIETTA AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8502
Practice Address - Country:US
Practice Address - Phone:215-469-1133
Practice Address - Fax:215-701-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA110053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport